A prolapsed bladder can be uncomfortable, but is rarely painful. In some cases, it can lead to bladder infections. If you have any signs or symptoms that impede your daily activity, it is important to contact your healthcare provider.
To diagnose cystocele, your healthcare provider will review your medical history and do a physical exam. Other tests may include:
- Cystourethrogram (voiding cystogram). This is an X-ray of the bladder taken while you are urinating with the bladder and urethra filled with contrast dye. It shows the shape of your bladder and any blockages, malformations, tumors, or stones in the bladder or urethra.
- MRI (Magnetic Resonance Imaging). This test creates detailed images of the inside of your body to determine the extent of bladder prolapse.
- Pelvic exam. While lying down or possibly standing, your doctor will examine the tissues of your vaginal wall, as well as your vagina for a tissue bulge that may indicate pelvic organ prolapse. You may be asked to bear down or simulate a bowel movement to see how much the prolapse is affected. You may be asked to contract your pelvic floor muscles as if you are trying to stop a stream of urine to check your pelvic strength.
- Urodynamics. This is a test of bladder function. It shows how much urine the bladder holds before causing an urge to void (urinate). It shows the cause of urinary incontinence. You may also have to do a urine test to check for signs of a bladder infection.
Other tests may be needed to find out if there are any problems in the other areas of the urinary system.